Healthcare Provider Details

I. General information

NPI: 1508401001
Provider Name (Legal Business Name): 5280 ELEVATED HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2019
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

884 S QUIETO WAY
DENVER CO
80223-2630
US

IV. Provider business mailing address

884 S QUIETO WAY
DENVER CO
80223-2630
US

V. Phone/Fax

Practice location:
  • Phone: 303-717-8037
  • Fax: 303-785-8084
Mailing address:
  • Phone: 303-717-8037
  • Fax: 303-785-8084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BETH ALANA CALIX CASTRO
Title or Position: REGISTERED NURSE/OWNER
Credential: RN, BSN.
Phone: 303-717-8037